Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.27 / $2,649.15 / $14,482.00	Facility		$1,256.27	$2,649.15	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.62 / $3,869.89 / $6,241.99	Facility		$3,311.62	$3,869.89	$6,241.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,256.27 / $1,507.07 / $2,531.41	Facility		$1,256.27	$1,507.07	$2,531.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,295.14 / $5,496.00 / $8,783.00	Facility		$1,295.14	$5,496.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,256.27 / $1,507.07 / $2,531.41	Facility		$1,256.27	$1,507.07	$2,531.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,620.15 / $4,031.00 / $5,618.75	Professional		$2,620.15	$4,031.00	$5,618.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,699.45 / $7,699.45 / $7,699.45	Facility		$7,699.45	$7,699.45	$7,699.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00